| NPI | 1982063954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.021832) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024173274) |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2022-03-23 |