| NPI | 1881048304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH COA.18729) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CO APN0994081-NP) |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2022-07-21 |