| NPI | 1073139796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0026792) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95015405) |
| Enumeration Date | 2020-06-18 |
| Last Update Date | 2023-10-18 |