| NPI | 1174134456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2026011635) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209035195) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0995763-NP) | |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2026-05-15 |