| NPI | 1801272869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.17418) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.17418-NP) |
| Enumeration Date | 2015-07-31 |
| Last Update Date | 2022-05-17 |