| NPI | 1235775255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.026214) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH RN.402189) |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2023-08-14 |