| NPI | 1477023307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP020743) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN433850) |
| Enumeration Date | 2018-12-04 |
| Last Update Date | 2021-08-25 |