| NPI | 1497183354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95027610) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209023207) |
| Enumeration Date | 2013-10-30 |
| Last Update Date | 2024-10-09 |