| NPI | 1154754000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209014171) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 71004560A) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 71004560B) | |
| Enumeration Date | 2013-08-14 |
| Last Update Date | 2016-12-02 |