NPI | 1518508381 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95026221) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209020145) |
Enumeration Date | 2019-10-03 |
Last Update Date | 2023-10-19 |