| NPI | 1801179312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.12669-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH NP12669) |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2022-11-14 |