| NPI | 1467609784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-03224) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 10100) |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2024-09-05 |