| NPI | 1467609784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MT NURAPRNLIC235271) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-03224) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 10100) | |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2024-12-11 |