| NPI | 1396124202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH APRN.CNP.17684) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: OH RN.362000) |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2024-05-21 |