| NPI | 1588077317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 5501) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.15969-NP) |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2023-07-30 |