| NPI | 1942735857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.020501) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 391790) |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2020-12-04 |