| NPI | 1508281981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.14945-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH Coa14945) |
| Enumeration Date | 2014-02-21 |
| Last Update Date | 2025-03-11 |