| NPI | 1518123173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9321441) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH RN307089) |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2021-12-10 |