| NPI | 1205223948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: PA SP017650) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OH COA.17252-NP) |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2022-03-30 |