| NPI | 1770121980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0999811-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209020544) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209.020544) | |
| Enumeration Date | 2019-12-18 |
| Last Update Date | 2026-01-08 |