| NPI | 1316442403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0993787-NP) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: IL 041326944) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209.017414) | |
| 163W00000X Registered Nurse (Licence: CO RN.1650877) | |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2021-07-16 |