| NPI | 1841757879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL 11007637) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OH LE-00027056) |
| Enumeration Date | 2019-02-26 |
| Last Update Date | 2021-01-04 |