| NPI | 1053884569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH F07181488) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP019144) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.N.CNP.0034148) | |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2024-02-01 |