| NPI | 1134768310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.026316) |
| Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: OH RN.357958) |
| Enumeration Date | 2020-01-05 |
| Last Update Date | 2020-03-29 |