| NPI | 1922738020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0031907) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH F05220766) |
| Enumeration Date | 2022-06-13 |
| Last Update Date | 2022-09-09 |