| NPI | 1730570631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5018104) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5018104) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH COA.16827-NP) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NC 5018104) | |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2023-05-16 |