| NPI | 1235760414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APRN.0996524-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH RN.391167) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 026289) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0135993) | |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2023-07-11 |