| NPI | 1922695832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 0028543) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: OH 434184) |
| Enumeration Date | 2020-12-26 |
| Last Update Date | 2022-02-01 |