| NPI | 1518481845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IL 209.026966) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA 95006402) |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2024-04-05 |