| NPI | 1083953210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.14305) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH NP-14305) |
| Enumeration Date | 2013-02-07 |
| Last Update Date | 2024-08-07 |