| NPI | 1831466747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 20205) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA 15085 NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 207724) | |
| 363LF0000X Nurse Practitioner, Family (Licence: SC TL20205) | |
| Enumeration Date | 2011-11-20 |
| Last Update Date | 2021-01-19 |