| NPI | 1922626753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0026833) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH F06200210) |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2022-03-01 |