| NPI | 1942635396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.18281) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MT NUR-RN-LIC-70254) |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2024-10-10 |