| NPI | 1669107272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH 0031880) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: OH 400378) |
| Enumeration Date | 2022-07-18 |
| Last Update Date | 2022-09-28 |