| NPI | 1619326923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1058684) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.383652) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.019395) | |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2021-11-15 |