| NPI | 1841819828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209.021563) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: IL 041393032) |
| Enumeration Date | 2020-04-10 |
| Last Update Date | 2021-09-10 |