| NPI | 1962715946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN002711) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 341372) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 18092) | |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2023-01-10 |