| NPI | 1235752742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209026291) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 14900579) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209026291) | |
| Enumeration Date | 2020-05-19 |
| Last Update Date | 2023-10-05 |