| NPI | 1932503554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95006209) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 041434653) |
| 363LF0000X Nurse Practitioner, Family (Licence: SD CP000902) | |
| Enumeration Date | 2014-10-09 |
| Last Update Date | 2020-02-05 |