| NPI | 1962881003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209.016272) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209.016272) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA NP95002350) | |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2025-01-07 |