| NPI | 1568039485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 0028646) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH F12200922) |
| Enumeration Date | 2021-06-09 |
| Last Update Date | 2022-09-14 |