| NPI | 1750867958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.0027704) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NY F343273) |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2020-10-30 |