| NPI | 1760932750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.022840) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN95109387) |
| 163W00000X Registered Nurse (Licence: MD R210492) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA FNP95005840) | |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2018-07-13 |