| NPI | 1114358231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRNCNP15094) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH RX 15094) |
| Enumeration Date | 2013-12-01 |
| Last Update Date | 2024-04-15 |