| NPI | 1871803429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH RN331163) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 11336) |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2021-12-27 |