| NPI | 1508749615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209033179) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041435308) |
| 163WP0200X Registered Nurse, Pediatrics (Licence: IL 041.435308) | |
| 163W00000X Registered Nurse (Licence: IL 041.435308) | |
| 163WP0200X Registered Nurse, Pediatrics (Licence: IL 041435308) | |
| Enumeration Date | 2025-07-28 |
| Last Update Date | 2026-05-13 |