| NPI | 1518603273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0031402) |
| Additional Taxonomies | 208D00000X General Practice (Licence: OH APRN.CNP.0031402) |
| Enumeration Date | 2022-05-06 |
| Last Update Date | 2023-10-18 |