| NPI | 1235606328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH CNP023859) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.023859) |
| Enumeration Date | 2018-10-27 |
| Last Update Date | 2021-03-09 |