| NPI | 1316672298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0032849) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP025889) |
| Enumeration Date | 2022-07-23 |
| Last Update Date | 2023-10-11 |