| NPI | 1518454222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95012557) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: IL 041387962) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209017644) | |
| 163W00000X Registered Nurse (Licence: CA 95194299) | |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2024-02-26 |