| NPI | 1780368886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95025242) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.027468) |
| Enumeration Date | 2023-06-12 |
| Last Update Date | 2023-11-18 |