| NPI | 1316322217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.17623) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH F06151612) |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2022-12-29 |