| NPI | 1588499875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 538264) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AK 226364) |
| Enumeration Date | 2024-09-05 |
| Last Update Date | 2024-09-07 |