| NPI | 1003258773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH RN.274080) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH COA-14823-NP) |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2023-10-17 |