| NPI | 1447014568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 0035732) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: OH CNP.0035732) |
| Enumeration Date | 2024-02-08 |
| Last Update Date | 2024-06-14 |