| NPI | 1982283149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5017806) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH CNP0028534) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH CNP0028534) | |
| Enumeration Date | 2021-04-05 |
| Last Update Date | 2023-03-29 |