| NPI | 1407224322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 020853) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN232143) |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2019-09-03 |