| NPI | 1881131324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.020389) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH CTP.021125) |
| Enumeration Date | 2017-01-23 |
| Last Update Date | 2022-01-25 |