| NPI | 1558999748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 0027059) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: VA 0001247652) |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2024-09-07 |