| NPI | 1124524731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.022639) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH RN.335913) |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2021-07-07 |