| NPI | 1891030151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 18299) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: HI 77449) |
| 163W00000X Registered Nurse (Licence: OH RN.374617) | |
| 363LF0000X Nurse Practitioner, Family (Licence: HI 1760) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH RN.374617) | |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2020-03-31 |