| NPI | 1972069086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.024255) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH LE-00027023) |
| Enumeration Date | 2019-02-13 |
| Last Update Date | 2023-11-03 |