| NPI | 1881338705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209026212) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: IL 041431635) |
| Enumeration Date | 2022-04-26 |
| Last Update Date | 2023-08-08 |