| NPI | 1790165868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO 0991640) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CO 0991640) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRNCNP021922) | |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2019-12-19 |