| NPI | 1841470010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 124298) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO 124298) |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2018-03-17 |