| NPI | 1679957682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11012145) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.17753-NP) |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2021-11-30 |