| NPI | 1841769445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0997583-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209017798) |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2022-07-07 |