NPI | 1295960664 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: IL 277-000086) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209007370) |
Enumeration Date | 2009-05-28 |
Last Update Date | 2024-08-13 |