| NPI | 1659675791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH COA.11931-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH 11931) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH COA.11931-NP) | |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2022-12-19 |