| NPI | 1487271557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IL 209020923) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209.020923) |
| 363LP0200X Nurse Practitioner Pediatrics (Licence: IL 209020923) | |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2024-06-28 |