| NPI | 1376150722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95018221) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IL 209022015) |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2024-03-29 |