| NPI | 1295188043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209.015914) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 704160) |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2021-12-28 |