| NPI | 1649794553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.021093) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH F06171446) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.021093) | |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2024-06-03 |