| NPI | 1154701647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.019604) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024172617) |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2022-01-25 |