| NPI | 1518158914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209004436) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: IL 209004436) |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2012-06-11 |