| NPI | 1497005623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95010691) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IL 209009787) |
| 363LF0000X Nurse Practitioner Family (Licence: CA NP95010691) | |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2024-01-17 |