| NPI | 1518409994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0992627-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.019724) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO RN.1642862) | |
| Enumeration Date | 2016-11-16 |
| Last Update Date | 2023-10-16 |