| NPI | 1225562663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.021987) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00721600) |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2018-04-09 |