| NPI | 1861168460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH F06211155) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH F06211155) |
| Enumeration Date | 2021-08-23 |
| Last Update Date | 2022-08-25 |