| NPI | 1134667736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 026401) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 404759) |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2021-02-18 |