| NPI | 1528442043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.022769) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP015109) |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2022-11-21 |