| NPI | 1619258050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.12535) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61264265) |
| Enumeration Date | 2011-08-30 |
| Last Update Date | 2024-10-12 |