| NPI | 1811225261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0997036-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209007903) |
| Enumeration Date | 2009-11-23 |
| Last Update Date | 2023-08-23 |