| NPI | 1710426309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11019607) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH RN.325337) |
| Enumeration Date | 2017-02-16 |
| Last Update Date | 2023-11-29 |