| NPI | 1881046324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209028816) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WI 7027) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 309021005) | |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2023-12-11 |