| NPI | 1396497350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0030654) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH LE-00039976) |
| Enumeration Date | 2022-01-21 |
| Last Update Date | 2022-08-02 |