| NPI | 1235472101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.14395) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA 14395 NP) |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2024-07-25 |