| NPI | 1932752037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH aprn.cnp.024692) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: OH 024692) |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2019-10-28 |