| NPI | 1649952888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95032280) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 041432434) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209028056) | |
| 163WX0200X Registered Nurse, Oncology (Licence: IL 041432434) | |
| Enumeration Date | 2023-08-07 |
| Last Update Date | 2025-01-02 |