| NPI | 1770800229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH CNP13105) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP010791) |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2023-05-12 |