| NPI | 1861563397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209-003010) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209003010) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2009-01-21 |