| NPI | 1588689954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN-CNP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN256933) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH CNP021811) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9446463) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2021-04-22 |