| NPI | 1891191342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: PA SP015467) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209012162) |
| Enumeration Date | 2014-11-11 |
| Last Update Date | 2016-01-10 |