| NPI | 1982188546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA F04240527) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: IL 041.412403) |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2024-05-17 |