| NPI | 1134704901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0028559) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH LE-00036147) |
| Enumeration Date | 2021-03-13 |
| Last Update Date | 2022-08-04 |