| NPI | 1003240862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0994384-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH 15054) |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2024-05-29 |