| NPI | 1053487819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9382212) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH NP 08653) |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2024-02-15 |