| NPI | 1841488921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH 2008005964) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: OH 2007004548-21) |
| Enumeration Date | 2007-10-14 |
| Last Update Date | 2023-02-14 |