| NPI | 1841546975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.13570) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.13570-NP) |
| Enumeration Date | 2012-07-26 |
| Last Update Date | 2024-08-25 |