| NPI | 1114605987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 2022064127) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 0034150) |
| Enumeration Date | 2023-07-10 |
| Last Update Date | 2023-07-10 |