| NPI | 1134764392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN309152) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 025831) |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2022-05-24 |