| NPI | 1932726395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0028251) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP021903) |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2024-04-15 |