| NPI | 1710469986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRNCNP023491) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH f07181075) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: OH CNP.023491) | |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2022-09-21 |