| NPI | 1174936009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 24248) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL ARNP9299541) |
| 363L00000X Nurse Practitioner (Licence: OH APRNCNP18236) | |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2018-06-08 |