| NPI | 1649414558 |
|---|---|
| Former Name | BERNADETTE KATHLENE MORDIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209-007531) |
| Enumeration Date | 2009-04-22 |
| Last Update Date | 2024-07-15 |