| NPI | 1396365102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209025098) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041429321) |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2022-09-01 |