| NPI | 1770899833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 814694) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 307966) |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2021-08-03 |