| NPI | 1255721536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN002818) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.16886-NP) |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2018-03-17 |