| NPI | 1922172394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 2033) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209005345) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: WI 2033) | |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2022-11-18 |