| NPI | 1710015680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.09021) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OH 09021) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2023-08-15 |