| NPI | 1750774725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9400274) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.254002-COA1) |
| 163W00000X Registered Nurse (Licence: FL ARNP 9400274) | |
| 208D00000X General Practice (Licence: FL aprn9400274) | |
| Enumeration Date | 2015-03-13 |
| Last Update Date | 2021-11-28 |