| NPI | 1568767119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 088548-23) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 11488) |
| 363LF0000X Nurse Practitioner, Family (Licence: OK 116515) | |
| Enumeration Date | 2011-01-12 |
| Last Update Date | 2022-07-11 |