| NPI | 1053869669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH APRN.CNP.020001) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 285143) |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2017-02-17 |