| 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 |