| NPI | 1215309398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95011961) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209013252) |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2022-08-29 |