| NPI | 1760751028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.12707) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH COA.12707-NP) |
| Enumeration Date | 2011-12-15 |
| Last Update Date | 2023-03-30 |