| NPI | 1750138657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: IL 209030220) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041497621) |
| Enumeration Date | 2024-04-30 |
| Last Update Date | 2024-09-12 |