| NPI | 1700339421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.023574) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024173784) |
| Enumeration Date | 2016-07-29 |
| Last Update Date | 2022-01-25 |