| NPI | 1033579610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0031945) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN.157270-M-IV) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0031945) | |
| Enumeration Date | 2016-02-25 |
| Last Update Date | 2022-11-30 |