| NPI | 1851991061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209022273) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MI 4704341894NSA200EL) |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2021-06-28 |