| NPI | 1023776622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209023913) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO APN.0999064-NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0999064-NP) | |
| 163W00000X Registered Nurse (Licence: IL 041.406026) | |
| Enumeration Date | 2021-12-01 |
| Last Update Date | 2023-09-19 |