| NPI | 1427233287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.025019) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN221704) |
| Enumeration Date | 2007-12-29 |
| Last Update Date | 2021-08-10 |