| NPI | 1457892952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 025169) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F341338-1) |
| Enumeration Date | 2017-03-16 |
| Last Update Date | 2020-06-28 |