| NPI | 1205401270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 0028979) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3015961) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0028979) | |
| Enumeration Date | 2021-05-23 |
| Last Update Date | 2023-05-31 |