| NPI | 1205677226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0036529) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH F05240728) |
| Enumeration Date | 2024-06-04 |
| Last Update Date | 2024-07-08 |