| NPI | 1356876171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209015867) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041422336) |
| Enumeration Date | 2017-04-30 |
| Last Update Date | 2017-06-06 |