| NPI | 1497347850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 2.9.029781) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 12098891) |
| Enumeration Date | 2021-02-08 |
| Last Update Date | 2024-06-29 |