| NPI | 1336604644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209018362) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60905606) |
| 163W00000X Registered Nurse (Licence: IL 041465583) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP60916521) | |
| Enumeration Date | 2019-01-31 |
| Last Update Date | 2020-05-28 |