| NPI | 1497730352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11002246) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH NP08530) |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2021-03-25 |