| NPI | 1992299036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH RN.CNP.0027907) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.412126) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CT 12487) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CT 213101) | |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2023-12-13 |