| NPI | 1174991327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61002113) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.311342) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.18076) | |
| Enumeration Date | 2015-09-04 |
| Last Update Date | 2024-04-22 |