| NPI | 1760485379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 71005715A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209009435) |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2016-03-11 |