| NPI | 1518240571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 12667) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 353208) |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2024-10-28 |