| NPI | 1568134229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0030306) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH LE00037578) |
| Enumeration Date | 2021-10-01 |
| Last Update Date | 2022-02-08 |