| NPI | 1871361014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.NP.0034691) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP925010) |
| Enumeration Date | 2023-12-18 |
| Last Update Date | 2023-12-18 |