| NPI | 1083157937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 020636) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 416037) |
| Enumeration Date | 2016-11-27 |
| Last Update Date | 2018-10-09 |