| NPI | 1043689797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11016044) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 18148) |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2024-02-22 |