| NPI | 1447515267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP8760) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH NP13429) |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2024-06-20 |