| NPI | 1740795723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9325195) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0036178) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95017931) | |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2026-04-02 |