| NPI | 1598163750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MT APRN100230) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA. 16855-NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: MT NUR-RN-LIC-21384) | |
| Enumeration Date | 2014-12-19 |
| Last Update Date | 2023-09-13 |