| NPI | 1700571718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95027020) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041469227) |
| 163W00000X Registered Nurse (Licence: CA 95329023) | |
| Enumeration Date | 2023-04-06 |
| Last Update Date | 2023-10-04 |