| NPI | 1356969729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0029603) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0994726-NP) |
| Enumeration Date | 2020-07-11 |
| Last Update Date | 2023-02-28 |