| NPI | 1639788417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0026991) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH APRN.CNP.0026991) |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 26450) | |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2024-05-14 |