| NPI | 1629277421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH 0133152) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ID 56990) |
| 363LF0000X Nurse Practitioner, Family (Licence: MN 5194) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 201390633NP-PP) | |
| 363L00000X Nurse Practitioner (Licence: MI 4704161795) | |
| 363L00000X Nurse Practitioner (Licence: FL APRN9413906) | |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2025-09-17 |