| NPI | 1245796507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 023915) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 343914) |
| Enumeration Date | 2019-02-12 |
| Last Update Date | 2021-09-27 |