| NPI | 1780229906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.026028) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH F10191220) |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2022-08-15 |