NPI | 1609524982 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209031706) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: TN 12434550) |
Enumeration Date | 2022-03-15 |
Last Update Date | 2025-10-09 |