| NPI | 1265739742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201501648NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.12204-NP) |
| Enumeration Date | 2011-02-18 |
| Last Update Date | 2023-08-09 |