| NPI | 1033562822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH RN.347721) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0001301882) |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2023-09-12 |