| NPI | 1518639749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0029523) |
| Additional Taxonomies | 207QG0300X Family Medicine Geriatric Medicine (Licence: OH APRN.CNP.0029523) |
| 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.0029523) | |
| Enumeration Date | 2021-10-05 |
| Last Update Date | 2024-03-12 |