| NPI | 1205307170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 023936) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 10310-33) |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2024-07-25 |