| NPI | 1023686185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5017837) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 0028739) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: OH 0028739) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: OH 0028739) | |
| 363L00000X Nurse Practitioner (Licence: OH 0028739) | |
| Enumeration Date | 2021-06-15 |
| Last Update Date | 2023-04-12 |