| NPI | 1770095382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.021971) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH APRN.CNP.021971) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 1770095382) | |
| Enumeration Date | 2017-11-05 |
| Last Update Date | 2025-01-07 |