| NPI | 1093073546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH NP13339) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN358293) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 13339) | |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2022-09-16 |