| NPI | 1306491717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0033394) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: OH 449140) |
| Enumeration Date | 2019-08-04 |
| Last Update Date | 2023-04-10 |