| NPI | 1962031708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209021670) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: IL 041412411) |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2021-06-18 |