| NPI | 1154802353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0036158) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA 2337138) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP140318) | |
| Enumeration Date | 2018-08-25 |
| Last Update Date | 2024-08-19 |