| NPI | 1528429602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.18242) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.18242) |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2021-09-01 |