| NPI | 1528611985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CO APN.0994549-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041482556) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209.019652) | |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2020-10-27 |