| NPI | 1124427687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH 021464) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP014087) |
| Enumeration Date | 2014-08-20 |
| Last Update Date | 2023-09-12 |