| NPI | 1831628957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH RN256986) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH RN256986) |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2024-07-30 |