| NPI | 1710573043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH 0028141) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 0028141) |
| Enumeration Date | 2020-12-21 |
| Last Update Date | 2022-01-06 |