| NPI | 1639642416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.024127) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH RN.407599) |
| Enumeration Date | 2019-01-04 |
| Last Update Date | 2023-10-03 |