| NPI | 1679191902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH LE-00032347) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH LE-00032347) |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2020-07-16 |