| NPI | 1346433810 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.09523)  | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP70023192)  | 
| 363LF0000X Nurse Practitioner, Family (Licence: OH RN293009NP09523)  | |
| 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0103399-C-NP)  | |
| Enumeration Date | 2007-08-19 | 
| Last Update Date | 2025-08-05 |