| NPI | 1477966703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 340633) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.15920-NP) |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2025-01-09 |