| NPI | 1952920894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95016031) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0995795-NP) |
| 163W00000X Registered Nurse (Licence: CO RN.1668564) | |
| 163W00000X Registered Nurse (Licence: IL 041389604) | |
| Enumeration Date | 2020-04-10 |
| Last Update Date | 2024-08-22 |