| NPI | 1790126720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH APRN.CNP.14684) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH APRN.CNP.14684) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH coa.14684-np) | |
| Enumeration Date | 2013-07-06 |
| Last Update Date | 2021-05-13 |