| NPI | 1497105720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.019442) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH F0616049) |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2022-03-21 |