| NPI | 1912318411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.026351) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 18639) |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2020-12-14 |