| NPI | 1598974479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: IL 41150130) |
| Additional Taxonomies | 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: IL 209001715) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2007-07-08 |