| NPI | 1902782147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: IL 041419336) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 241687) |
| Enumeration Date | 2025-08-13 |
| Last Update Date | 2025-08-13 |