| NPI | 1881984342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP7574) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.12180-NP) |
| Enumeration Date | 2011-04-18 |
| Last Update Date | 2022-03-03 |