| NPI | 1265898928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209.013709) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.413438) |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2022-05-31 |