| NPI | 1992093728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.12407) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.12407-NP) |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2023-12-15 |