| NPI | 1932622123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 022230) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5018091) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO C-RXN.0100548-C-NP) | |
| Enumeration Date | 2017-07-20 |
| Last Update Date | 2024-08-14 |