| NPI | 1306055900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: IL 209001006) |
| Additional Taxonomies | 364SN0000X Clinical Nurse Specialist, Neonatal (Licence: IL 209001005) |
| 163W00000X Registered Nurse (Licence: IL 041162850) | |
| 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: IL 041-162850) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-07-14 |