| NPI | 1053032706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0032535) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH pending) |
| Enumeration Date | 2022-09-09 |
| Last Update Date | 2022-10-27 |