| NPI | 1033528773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.18549) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP 9292447) |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2019-07-17 |