| NPI | 1295296697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.0036367) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: GA RN267756) |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2024-06-17 |