| NPI | 1275063851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.020974) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL APRN11021071) |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2023-06-21 |