| NPI | 1508323270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH APRNCNP024593) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OH FO1191773) |
| Enumeration Date | 2019-02-28 |
| Last Update Date | 2021-05-20 |