| NPI | 1407526338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0029750) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 0029750) |
| Enumeration Date | 2021-09-13 |
| Last Update Date | 2022-11-09 |