| NPI | 1982064093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95003493) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IL 209013152) |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2022-07-21 |