| NPI | 1033145883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.04050) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH RN189190) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2023-05-26 |