| NPI | 1538520606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: IL 209.0.0613) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209.0.0613) |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2025-10-07 |