| NPI | 1013679430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0029586) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: OH APRN.CNP.0029586) |
| Enumeration Date | 2021-10-13 |
| Last Update Date | 2022-10-20 |