| NPI | 1144333808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.04092) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH NP04092) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2022-10-03 |