| NPI | 1295427656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0033695) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP027527) |
| Enumeration Date | 2023-05-24 |
| Last Update Date | 2023-05-28 |