| NPI | 1003351024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.020386) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.360187) |
| Enumeration Date | 2016-12-29 |
| Last Update Date | 2020-12-29 |