| NPI | 1306375035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRNCNP021269) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 1734108) |
| 207X00000X Orthopaedic Surgery (Licence: OH 1734108) | |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2019-03-27 |