| NPI | 1346864121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH APRNCNP0030296) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: GA F07191531) |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2021-12-01 |