| NPI | 1770957904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.18629) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH RN.327703) |
| Enumeration Date | 2015-11-27 |
| Last Update Date | 2024-04-24 |