| NPI | 1780088948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 277000680) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 309007572) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 041380014) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 377000658) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209011415) | |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2021-01-28 |