| NPI | 1740842921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.025197) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 301903) |
| Enumeration Date | 2019-07-08 |
| Last Update Date | 2021-01-19 |