| NPI | 1700332616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: OH 0037390) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: TX 1183216) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: MD AC001880) | |
| 363LA2200X Nurse Practitioner Adult Health (Licence: CO C-APN.0103199CNP) | |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2025-08-11 |