| NPI | 1598391302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN301945) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRNCNP026571) |
| Enumeration Date | 2020-03-13 |
| Last Update Date | 2021-07-01 |