| NPI | 1679046320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5013908) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH .023869) |
| Enumeration Date | 2019-01-05 |
| Last Update Date | 2024-02-26 |