| NPI | 1457745192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95007281) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.011905) |
| Enumeration Date | 2015-03-19 |
| Last Update Date | 2024-11-17 |