| NPI | 1326669904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0026974) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO APN.0996436-NP) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2022-01-21 |