| NPI | 1639830177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 71012019A) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH APRN.CNP.0030437) |
| 207R00000X Internal Medicine (Licence: OH APRN.CNP.0030437) | |
| Enumeration Date | 2022-01-06 |
| Last Update Date | 2022-04-07 |