| NPI | 1396069860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2296236) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 11240-NP) |
| Enumeration Date | 2010-03-26 |
| Last Update Date | 2022-02-07 |