| NPI | 1255822136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 022367) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH CNP.022367) |
| Enumeration Date | 2018-05-25 |
| Last Update Date | 2022-05-18 |