| NPI | 1881104875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0036161) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2289085) |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2024-09-27 |