| NPI | 1225539463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.025864) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: OH RN.344714) |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2022-01-25 |