| NPI | 1245614262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.17675-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2026008175) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 17675) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OK 227806) | |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2026-03-18 |