| NPI | 1568643765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.10053) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH NP10053) |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2023-05-01 |