| NPI | 1780235903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0030760) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11003031) |
| Enumeration Date | 2019-09-28 |
| Last Update Date | 2022-03-31 |