| NPI | 1588345847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209.030486) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041466999) |
| Enumeration Date | 2023-07-28 |
| Last Update Date | 2024-10-31 |