| NPI | 1699293548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH CNP.021918) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 021918) |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2022-01-26 |