| NPI | 1497299820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH APRN.CNP.020227) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH RN182393) |
| Enumeration Date | 2016-12-04 |
| Last Update Date | 2020-11-10 |