| NPI | 1801172184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5007488) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA 12859NP) |
| Enumeration Date | 2011-10-31 |
| Last Update Date | 2021-04-22 |