| NPI | 1114525714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0027254) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.420781) |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2020-10-15 |