| NPI | 1841674009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.17643) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: OH COA.17643-NP) |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2023-10-30 |