| NPI | 1811311400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH 026347) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.371882) |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2021-05-24 |