| NPI | 1255784245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH APRN.CNP.022254) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95004525) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95004525) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: KY 3012673) | |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2021-01-14 |