| NPI | 1043694482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.17110-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN002006) |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2022-12-09 |