| NPI | 1083807606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 17816) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: CA 17816) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: IL 041328453) | |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2022-09-22 |