| NPI | 1215991823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.021767) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH LD5165) |
| 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.021767) | |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2024-12-10 |