| NPI | 1356702013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.17805) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA-17805-NP) |
| Enumeration Date | 2016-03-09 |
| Last Update Date | 2025-01-14 |