| NPI | 1831638121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 32328) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH 433384) |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2024-02-12 |