| NPI | 1952910689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0998321-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH F07200640) |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2023-10-05 |