| NPI | 1619530987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0996864-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209019240) |
| 163W00000X Registered Nurse (Licence: CO RN.1676693) | |
| Enumeration Date | 2019-04-22 |
| Last Update Date | 2022-10-18 |