| NPI | 1972936599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH CNP.14915) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.14915-NP) |
| Enumeration Date | 2013-08-19 |
| Last Update Date | 2024-12-05 |