| NPI | 1508217589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.019323) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH F06161567) |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2024-01-03 |