| NPI | 1205550159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95031709) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.531354) |
| 163W00000X Registered Nurse (Licence: CA 95306250) | |
| Enumeration Date | 2022-10-03 |
| Last Update Date | 2024-09-03 |