| NPI | 1629612882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.025593) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH F09190241) |
| Enumeration Date | 2019-10-31 |
| Last Update Date | 2021-11-01 |