| NPI | 1598230856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.023888) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 34-00-6722) |
| 363A00000X Physician Assistant (Licence: OH APRN.CNP.023888) | |
| Enumeration Date | 2018-10-12 |
| Last Update Date | 2022-04-26 |