| NPI | 1821498023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0992987-NP) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209011391) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209011391) | |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2021-03-09 |