| NPI | 1952173403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0035172) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH F09230886) |
| Enumeration Date | 2023-10-27 |
| Last Update Date | 2023-12-04 |