| NPI | 1255970166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH APRN.CNP.026119) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.026119) |
| Enumeration Date | 2019-12-26 |
| Last Update Date | 2022-02-09 |