| NPI | 1184171431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.019619) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP016435) |
| Enumeration Date | 2016-09-03 |
| Last Update Date | 2019-11-20 |