| NPI | 1104127117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0028240) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP023098) |
| Enumeration Date | 2010-11-07 |
| Last Update Date | 2024-03-01 |