| NPI | 1689340713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0029803) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11035227) |
| Enumeration Date | 2021-08-18 |
| Last Update Date | 2024-10-01 |