| NPI | 1255052916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0032345) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: OH RN399304) |
| Enumeration Date | 2022-09-09 |
| Last Update Date | 2023-07-27 |