| NPI | 1679721633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: IL 209-007230) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: IL 041-227271) |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2008-09-03 |