| NPI | 1164926390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: OH APRN.CNP.022453) |
| Additional Taxonomies | 207QA0505X Family Medicine Adult Medicine (Licence: OH APRN.CNP.022453) |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2018-03-23 |