| NPI | 1225322266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209008691) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: IL 041353982) |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2013-08-14 |