| NPI | 1780194910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH 0030179) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: GA RN226708) |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2023-11-16 |