| NPI | 1811643109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: IL 209028453) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209028453) |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: MO 2022006475) | |
| Enumeration Date | 2022-02-24 |
| Last Update Date | 2024-12-09 |