| NPI | 1508289141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11007122) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.15620-NP) |
| Enumeration Date | 2014-02-03 |
| Last Update Date | 2022-10-14 |