| NPI | 1841701075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: IL 209015210) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209015210) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: IL 209015210) | |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2019-01-18 |