| NPI | 1972250660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209028165) |
| Additional Taxonomies | 163WF0300X Registered Nurse, Flight (Licence: IL 041367713) |
| Enumeration Date | 2022-03-03 |
| Last Update Date | 2023-09-22 |