| NPI | 1235484270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.13346) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OH COA.13346-NP) |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2023-11-14 |