| NPI | 1790553253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 0035607) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 353153) |
| Enumeration Date | 2023-12-14 |
| Last Update Date | 2024-02-12 |