| NPI | 1316174154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209007613041353625) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: IL 041353625) |
| Enumeration Date | 2009-06-19 |
| Last Update Date | 2009-06-19 |