| NPI | 1720479959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.16800) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.16800-NP) |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2022-12-07 |