| NPI | 1063666261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN apn0000013464) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 515471) |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 11437) | |
| Enumeration Date | 2008-11-14 |
| Last Update Date | 2023-06-27 |