| NPI | 1831904663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209.031455) |
| Additional Taxonomies | 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: IL 209.031455) |
| 363L00000X Nurse Practitioner (Licence: IL 209.031455) | |
| Enumeration Date | 2025-02-10 |
| Last Update Date | 2025-06-05 |