| NPI | 1760147151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0030610) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 202111806NP-PP) |
| 163W00000X Registered Nurse (Licence: OH RN.500624) | |
| 163W00000X Registered Nurse (Licence: OR 202003581RN) | |
| Enumeration Date | 2021-11-01 |
| Last Update Date | 2024-12-02 |