| NPI | 1528419223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRNCNP022182) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP3177882) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024184397) | |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2023-11-03 |