| NPI | 1548741481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 023642) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC DELA-KSW4N1) |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2020-02-18 |