| NPI | 1467112821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024190353) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN357353) |
| Enumeration Date | 2021-12-28 |
| Last Update Date | 2024-09-04 |