| NPI | 1063014330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: OH 0028000) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OH 0028000) |
| Enumeration Date | 2020-11-12 |
| Last Update Date | 2023-12-19 |