| NPI | 1508633660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH aprn.cnp.0034832) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH F08230498) |
| Enumeration Date | 2023-12-08 |
| Last Update Date | 2023-12-08 |