| NPI | 1154825651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ 226709) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.022400) |
| 363LF0000X Nurse Practitioner Family (Licence: CO APN.0994337-NP) | |
| 363LP0200X Nurse Practitioner Pediatrics (Licence: OH APRN.CNP.022400) | |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2022-07-27 |