| NPI | 1730833930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: OH APRN.CNP.0030694) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AZ 271819) |
| Enumeration Date | 2022-02-07 |
| Last Update Date | 2023-06-22 |