| NPI | 1861565327 |
|---|---|
| Former Name | COLEEN R POPP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.08027) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH 08027) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2024-10-09 |