| NPI | 1194245886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WI 7978-33) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: WI 159164-30) |
| 163WP0200X Registered Nurse, Pediatrics (Licence: IL 041311136) | |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2017-09-22 |