| NPI | 1891468393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0032916) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 347772) |
| Enumeration Date | 2021-07-29 |
| Last Update Date | 2023-07-28 |