| NPI | 1194303347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209.023347) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 209.023347) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1014952) | |
| Enumeration Date | 2021-03-30 |
| Last Update Date | 2022-06-27 |