| NPI | 1679544977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: MO 071032) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: IL 209007223) |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2009-03-02 |