| NPI | 1407330541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH CNP021484) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.021484) |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2021-03-18 |