| NPI | 1881145365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH LE-00041276) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC APRN 20536) |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 11674-33) | |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2022-07-25 |