| NPI | 1801547138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP025364) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0037235) |
| 163W00000X Registered Nurse (Licence: PA RN651468) | |
| Enumeration Date | 2022-01-18 |
| Last Update Date | 2024-09-03 |