| NPI | 1659051738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: OH APRN.CNP.0034382) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0034382) |
| Enumeration Date | 2023-07-24 |
| Last Update Date | 2023-12-04 |