| NPI | 1306371026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRNCNP18808) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.18808-NP) |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2020-10-19 |