| NPI | 1942796982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.1000679-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.017772041.424281) |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2025-07-30 |