| NPI | 1821627720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0028234) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95014635) |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2021-08-25 |