| NPI | 1568753515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: FL ARNP9462577) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OH RN. 231281-COA1) |
| Enumeration Date | 2011-04-26 |
| Last Update Date | 2022-08-15 |