| NPI | 1427147347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95006478) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IL 209003581) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2019-09-25 |