| NPI | 1790174480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH COA.16838) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.16838) |
| Enumeration Date | 2015-01-18 |
| Last Update Date | 2022-12-14 |