| NPI | 1881194223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0033005) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 21673) |
| Enumeration Date | 2018-02-12 |
| Last Update Date | 2023-03-01 |