| NPI | 1710392923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.15972) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRNCNP15972) |
| 363LF0000X Nurse Practitioner Family (Licence: OH 15972) | |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2023-03-24 |