| NPI | 1265985659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.020719) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 7423032-4405) |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2021-05-25 |