| 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 |