| NPI | 1679279947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0033158) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH 0033158) |
| Enumeration Date | 2023-02-07 |
| Last Update Date | 2023-03-27 |