| NPI | 1295164077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95024559) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209010767) |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2023-07-27 |