| NPI | 1528533098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH F10180523) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH CNP.023871) |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2021-12-27 |