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 |