| NPI | 1780372524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.1000152-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209027320) |
| Enumeration Date | 2023-04-28 |
| Last Update Date | 2025-08-01 |