| NPI | 1881110690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH 021513) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL APRN.11002015) |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2023-08-09 |