| NPI | 1588644645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH NP08214) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 08214) |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2022-01-23 |