| NPI | 1447241666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0031988) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 090000179N1) |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2024-09-14 |