| NPI | 1285903302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95006504) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.009242) |
| Enumeration Date | 2011-12-19 |
| Last Update Date | 2022-07-21 |