| NPI | 1861088742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0028381) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH APRN.CNP.0028381) |
| 207Q00000X Family Medicine (Licence: OH LE-00034695) | |
| Enumeration Date | 2020-12-15 |
| Last Update Date | 2023-01-26 |