| NPI | 1558990960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209021577) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041388541) |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2024-08-08 |