| NPI | 1770807778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN263628) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 271349-COA1) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH COA11338-NP) | |
| Enumeration Date | 2010-03-19 |
| Last Update Date | 2021-09-28 |