| NPI | 1811342041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH RN370745) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-166368) |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2019-10-21 |