| NPI | 1275936015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.16671) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA 16671 NP) |
| Enumeration Date | 2014-10-08 |
| Last Update Date | 2022-02-21 |