| NPI | 1841668803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.17277) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA. 17277-NP) |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2023-06-15 |