| NPI | 1598222127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH APRN.CNP.024367) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 024367) |
| Enumeration Date | 2019-03-01 |
| Last Update Date | 2022-09-13 |