| NPI | 1841840071 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 024769) | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH 024769) | 
| Enumeration Date | 2019-09-19 | 
| Last Update Date | 2024-11-15 |