| NPI | 1376810895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN253366) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH RN.327547-COA1) |
| Enumeration Date | 2011-11-29 |
| Last Update Date | 2021-09-09 |