| NPI | 1740899459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0027014) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 0027014) |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2024-06-10 |