| NPI | 1285063610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95002679) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209010788) |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2015-09-08 |