| NPI | 1417303413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209013983) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041360668) |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2016-05-09 |