| NPI | 1770028805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.19010) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH RN.323678) |
| Enumeration Date | 2016-12-28 |
| Last Update Date | 2024-02-20 |