| NPI | 1558337519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MO 120225) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 120225) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 277000115) | |
| 163W00000X Registered Nurse (Licence: IL 041454069) | |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2020-02-07 |