| NPI | 1578905022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RS0010X Internal Medicine, Sports Medicine (Licence: FL 207R00000X) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.022192) |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2022-08-08 |