| NPI | 1093093221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 209012639) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: IL 209012639) |
| Enumeration Date | 2011-07-21 |
| Last Update Date | 2019-01-25 |