| NPI | 1245604875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 0032818) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5008200) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 342210) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F342210) | |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2024-10-21 |