| NPI | 1134669336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0034473) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5009346) |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2023-11-27 |