| NPI | 1003278987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.18728-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.307864-1) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2021-03-16 |