| NPI | 1225512759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95016776) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209018207) |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2021-09-13 |