| NPI | 1740739051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.019661) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OH 288020) |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2020-11-12 |