| NPI | 1801457809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WY 46731) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0995180-NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.024903) | |
| Enumeration Date | 2019-06-21 |
| Last Update Date | 2023-09-26 |