| NPI | 1902423098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN0033194) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC 1034172) |
| 207Q00000X Family Medicine (Licence: VA 0024178804) | |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2023-07-28 |