| NPI | 1740873173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11014755) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH F01211368) |
| Enumeration Date | 2021-02-17 |
| Last Update Date | 2024-08-21 |