| NPI | 1316572761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH 026433) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: KY 3015231) |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2024-09-27 |