| NPI | 1245786599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP016211) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 023564) |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2021-05-05 |