| NPI | 1881204501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 33533) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH F07201077) |
| Enumeration Date | 2020-08-06 |
| Last Update Date | 2023-09-21 |