| NPI | 1346672573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.14820) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: OH APRN.CNP.14820) |
| Enumeration Date | 2013-07-30 |
| Last Update Date | 2020-01-03 |