| NPI | 1033544200 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH CNP.15233) | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH 15233-NP) | 
| Enumeration Date | 2013-09-06 | 
| Last Update Date | 2023-08-10 |