| NPI | 1518631431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 0029855) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: OH 222437) |
| Enumeration Date | 2021-08-04 |
| Last Update Date | 2021-10-12 |