| NPI | 1891468575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 1074575) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: OH RN.312390) |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: MI 4704371688) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1074575) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: OH AG06210129) | |
| Enumeration Date | 2021-07-28 |
| Last Update Date | 2023-09-20 |