| NPI | 1144573056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA 10006540) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0029313) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 9323668) | |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2024-06-27 |