| NPI | 1073054953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.020999) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.309922) |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2024-09-19 |