| NPI | 1043542673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA 13829 NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 775339) |
| Enumeration Date | 2010-02-07 |
| Last Update Date | 2022-12-15 |