| NPI | 1578123527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0998253-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209019534) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209.019534) | |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2023-02-16 |