| NPI | 1114403490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP10217) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 403957) |
| 163W00000X Registered Nurse (Licence: LA RN162147) | |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2018-08-29 |