| NPI | 1417416702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209018108) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95014000) |
| Enumeration Date | 2019-03-15 |
| Last Update Date | 2022-01-20 |