| NPI | 1174890362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209-009224) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209-009224) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN2374194) | |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2025-09-29 |