| NPI | 1619246113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: IL 209229271) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041347187) |
| Enumeration Date | 2011-12-29 |
| Last Update Date | 2011-12-29 |