| NPI | 1902232457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.15314.) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.15314-NP) |
| Enumeration Date | 2013-09-16 |
| Last Update Date | 2023-11-03 |