| NPI | 1326517947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0031801) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN APN0000023940) |
| Enumeration Date | 2018-11-14 |
| Last Update Date | 2022-11-30 |