| NPI | 1508494279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WI 23264-875) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OH 026370) |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2023-08-01 |