| NPI | 1891219440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0032547) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP017720) |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2023-01-25 |