| NPI | 1316298664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.021752) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5012729) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024183269) | |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2022-12-09 |