| NPI | 1679880876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71007980A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NM CNP 03020) |
| 363LF0000X Nurse Practitioner Family (Licence: OH RN 254-523/15644-NP) | |
| Enumeration Date | 2010-09-09 |
| Last Update Date | 2021-08-18 |