| NPI | 1770099889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.022204) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH RN346912) |
| Enumeration Date | 2017-12-27 |
| Last Update Date | 2022-08-16 |