| NPI | 1518470509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209016678) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95007910) |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2020-05-28 |