| NPI | 1669651972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: GA RN139815) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209006251) |
| Enumeration Date | 2007-11-02 |
| Last Update Date | 2011-11-02 |