| NPI | 1598152233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0028469) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9346495) |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2021-09-14 |