| NPI | 1700184306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71010554A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OH COA 12215 NP) |
| 363LF0000X Nurse Practitioner Family (Licence: KY 3007964) | |
| Enumeration Date | 2011-03-05 |
| Last Update Date | 2023-03-01 |