| NPI | 1609427137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95029795) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209019930) |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2024-12-09 |