| NPI | 1619034204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: OH 21403) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.024180) |
| 207QS1201X Family Medicine Sleep Medicine (Licence: OH APRN.CNP.024180) | |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2020-12-15 |