| NPI | 1760850531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: CO APN.0997944-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IL 209013130) |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2023-08-24 |