| NPI | 1144945429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0032477) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO C-RXN.0102172-C-NP) |
| Enumeration Date | 2022-10-10 |
| Last Update Date | 2024-12-02 |