| NPI | 1750746152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61037335) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 025455) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209013461) | |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2024-04-09 |