| NPI | 1922047976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 20195) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209-003329) |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2022-08-18 |