| NPI | 1467955732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.022165) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 022165) |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2022-09-03 |