| NPI | 1104489020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95011599) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 95011599) |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2026-04-15 |