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 |