| NPI | 1083126007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH 021933) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH CNP.021933) |
| Enumeration Date | 2017-10-31 |
| Last Update Date | 2020-07-29 |