| NPI | 1649987355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2022035226) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 447543) |
| 163W00000X Registered Nurse (Licence: MO 2022033305) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 0031593) | |
| Enumeration Date | 2022-11-02 |
| Last Update Date | 2022-11-02 |