| NPI | 1982208088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP022903) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.459119) |
| 163W00000X Registered Nurse (Licence: PA RN737253) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0027448) | |
| Enumeration Date | 2020-11-30 |
| Last Update Date | 2023-10-03 |