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 |