| NPI | 1780319715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: IL 209029589) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209029589) |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: NC 5016851) | |
| Enumeration Date | 2022-07-22 |
| Last Update Date | 2024-08-30 |