| NPI | 1801845623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.06380-NP) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH NP06380) |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2022-04-14 |