| NPI | 1871945196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95005512) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041393451) |
| 163W00000X Registered Nurse (Licence: CA RN95102802) | |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2020-02-20 |