| NPI | 1073846671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.10944) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH COA.10944-NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 10944) | |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2023-01-17 |