| NPI | 1215655667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0033317) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 31948) |
| Enumeration Date | 2022-08-19 |
| Last Update Date | 2024-08-19 |