| NPI | 1699315697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277.00235) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95036398) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA 61331449) | |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2025-07-31 |