| NPI | 1376014282 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.023640)  | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.023640)  | 
| Enumeration Date | 2018-12-17 | 
| Last Update Date | 2024-12-05 |