| NPI | 1649836784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.024628) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OH RN233018) |
| Enumeration Date | 2019-05-14 |
| Last Update Date | 2023-12-29 |