| NPI | 1740518646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.1193-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 337544) |
| Enumeration Date | 2009-12-03 |
| Last Update Date | 2024-04-29 |