| NPI | 1750953360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0029069) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH F06210051) |
| Enumeration Date | 2021-07-13 |
| Last Update Date | 2023-01-12 |