| NPI | 1366957128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5011325) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.021996) |
| 363LF0000X Nurse Practitioner Family (Licence: NC 5011325) | |
| Enumeration Date | 2017-12-02 |
| Last Update Date | 2024-07-25 |