| NPI | 1629517727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.020094) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH F0516185) |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2022-04-06 |