| NPI | 1912320037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH NP16047) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN001636) |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00499700) | |
| Enumeration Date | 2014-01-24 |
| Last Update Date | 2015-08-16 |