| NPI | 1144692021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0993388-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209013352) |
| Enumeration Date | 2015-10-30 |
| Last Update Date | 2019-11-22 |