| NPI | 1558613661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.021022) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA 2279222) |
| Enumeration Date | 2012-10-12 |
| Last Update Date | 2022-07-21 |