| NPI | 1609394907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.021769) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH F07170141) |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2023-09-15 |