| NPI | 1457847998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.023087) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP019278) |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2024-02-12 |