| NPI | 1104482421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.024707) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 391752) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.024707) | |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2019-07-22 |