| NPI | 1649643081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP8818) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA. 16890) |
| Enumeration Date | 2015-11-06 |
| Last Update Date | 2022-09-20 |