| NPI | 1497401491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 202203236NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 439398) |
| Enumeration Date | 2022-02-28 |
| Last Update Date | 2023-04-21 |