| NPI | 1225684434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209-019355) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.019355) |
| Enumeration Date | 2019-08-13 |
| Last Update Date | 2025-01-30 |