| NPI | 1336984194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH APRN.CNP.0036816) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0036816) |
| Enumeration Date | 2024-06-25 |
| Last Update Date | 2024-07-23 |