| NPI | 1578685558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209-005628) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041249037) |
| 364S00000X Clinical Nurse Specialist (Licence: IL 209003055) | |
| 174N00000X Lactation Consultant, Non-RN | |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2014-06-23 |