| NPI | 1972888956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.12390) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 201502503NP-PP) |
| 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-1789) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.12390) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: HI APRN-1789) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: OH APRN.CNP.12390) | |
| Enumeration Date | 2011-10-20 |
| Last Update Date | 2021-01-18 |