| NPI | 1528330081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH APRN.CNP.0038894) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA 224457) |
| 363L00000X Nurse Practitioner (Licence: LA 224457) | |
| Enumeration Date | 2012-01-30 |
| Last Update Date | 2025-05-08 |