| NPI | 1194391839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH F12200425) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH F1220425) |
| Enumeration Date | 2021-06-02 |
| Last Update Date | 2021-06-03 |