| NPI | 1568827301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11003686) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 18557) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH COA.18557-NP) | |
| Enumeration Date | 2015-12-21 |
| Last Update Date | 2023-03-13 |