| NPI | 1891008140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209008232) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041243779) |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2024-10-07 |