| NPI | 1265883557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5011504) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH CNP.019303) |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2019-05-07 |