| NPI | 1316389570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95001343) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209010426) |
| Enumeration Date | 2013-07-29 |
| Last Update Date | 2015-10-27 |