| NPI | 1912456609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP0027858) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0027858) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0027858) | |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2023-12-12 |