| NPI | 1598923286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH CNP.025408) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH 881775) |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2021-08-19 |