| NPI | 1669137063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0033417) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 218179) |
| Enumeration Date | 2021-11-02 |
| Last Update Date | 2023-05-15 |