| NPI | 1184990699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95014168) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209012838) |
| 363L00000X Nurse Practitioner (Licence: MI 4704267088) | |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2024-06-06 |