| NPI | 1871303024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.1001620-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209031847) |
| 163W00000X Registered Nurse (Licence: CO RN.1681674) | |
| 163W00000X Registered Nurse (Licence: IL 041.578655) | |
| Enumeration Date | 2025-01-09 |
| Last Update Date | 2026-07-01 |