| NPI | 1063922870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.021858) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 404613) |
| 163W00000X Registered Nurse (Licence: PA 664233) | |
| Enumeration Date | 2017-10-06 |
| Last Update Date | 2017-10-06 |