NPI | 1982288627 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0032170) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP023707) |
Enumeration Date | 2021-05-10 |
Last Update Date | 2024-07-11 |