| NPI | 1902113202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9454866) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9454866) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH COA.11773-NP) | |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2022-07-21 |