| NPI | 1992765978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.04535) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH RN279103) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 04535) | |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2023-10-10 |