| NPI | 1881901536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209009773) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: MO 2010027554) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: MO 2010027554) | |
| Enumeration Date | 2010-09-01 |
| Last Update Date | 2024-01-29 |