| NPI | 1669020137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH 024950) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 26108) |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2023-01-20 |