| NPI | 1154887677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.024661) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH LE-00026665) |
| 207Q00000X Family Medicine (Licence: OH 024661) | |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2023-06-08 |