| NPI | 1609364934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 68482) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR 220777) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH CNP.022674) | |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2024-04-25 |