| NPI | 1861633844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.12305) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA sp010246) |
| Enumeration Date | 2009-03-20 |
| Last Update Date | 2021-05-12 |