| NPI | 1801522644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209.025693) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: IL 041.454629) |
| Enumeration Date | 2022-07-25 |
| Last Update Date | 2022-08-09 |