NPI | 1538599782 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: IL 209010997) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209010997) |
Enumeration Date | 2013-11-24 |
Last Update Date | 2018-10-19 |