| NPI | 1801094420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRNCNP09431) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH RN295899) |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2022-09-07 |