| NPI | 1659733004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO APN.0992349-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0031184) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP) | |
| 363L00000X Nurse Practitioner (Licence: CO APN.0992349-NP) | |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2024-03-05 |