| NPI | 1023016854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.06554) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH 06554) |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2021-06-21 |