| NPI | 1881060267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OR 10026631) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OH COA.18022-NP) |
| 363LP0200X Nurse Practitioner Pediatrics (Licence: CO APN.0998094-NP) | |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2024-07-23 |