| NPI | 1508450586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0028767) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH F02210397) |
| Enumeration Date | 2021-02-21 |
| Last Update Date | 2021-10-28 |