| NPI | 1245093343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0000X Family Medicine, Adolescent Medicine (Licence: OH AG12230049) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH AG12230049) |
| Enumeration Date | 2024-02-01 |
| Last Update Date | 2024-03-01 |