| NPI | 1497477376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.0032365) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OH 2022043199) |
| Enumeration Date | 2022-09-16 |
| Last Update Date | 2022-09-25 |