| NPI | 1942845094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 026294) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5012916) |
| Enumeration Date | 2019-11-13 |
| Last Update Date | 2022-01-14 |