| NPI | 1023161098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.18058-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN. 326541) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH RN326541) | |
| Enumeration Date | 2007-01-20 |
| Last Update Date | 2020-12-29 |