| NPI | 1710639679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.0030648) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH APRN.CNP.0030648) |
| Enumeration Date | 2022-01-21 |
| Last Update Date | 2024-03-14 |