| NPI | 1073979548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 348877) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.18562-NP) |
| Enumeration Date | 2016-01-13 |
| Last Update Date | 2024-07-29 |