| NPI | 1598101222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 18034) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 17260) |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2023-06-07 |