| NPI | 1154969640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F348941-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.454498) |
| Enumeration Date | 2019-12-15 |
| Last Update Date | 2023-03-17 |