| NPI | 1508597915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0030674) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5016329) |
| Enumeration Date | 2022-06-17 |
| Last Update Date | 2023-08-08 |