| NPI | 1629662820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH 026534) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.026534) |
| Enumeration Date | 2021-02-28 |
| Last Update Date | 2024-04-02 |