| NPI | 1548672637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRNCNP15922) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH RN.327029) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 350867) | |
| Enumeration Date | 2014-05-23 |
| Last Update Date | 2024-02-06 |