| NPI | 1720381726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209-008621) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 562732) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 041293414) | |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2023-12-11 |