| NPI | 1417239914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP9376132) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OH F0811063) |
| Enumeration Date | 2011-09-12 |
| Last Update Date | 2021-07-29 |