| NPI | 1366842627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.022366) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 991354) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO 0991354-np) | |
| Enumeration Date | 2014-08-23 |
| Last Update Date | 2019-03-15 |