| NPI | 1336696988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95008941) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209014686) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2022-01-07 |