| NPI | 1588324883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209024091) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO APN.0999594-NP) |
| Enumeration Date | 2021-12-28 |
| Last Update Date | 2025-05-12 |