| NPI | 1316598931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.026446) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024178245) |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2020-06-11 |