| NPI | 1962990135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MN 8278) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.022124) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: OH APRN.CNP.022124) | |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2021-11-23 |