| NPI | 1609979855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN0992240-NP) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: OH NP06062) |
| 363L00000X Nurse Practitioner (Licence: OH COA06062NP) | |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2016-03-21 |