| NPI | 1073581674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH APRN.CNP.08707) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH RN286863) |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2022-09-29 |