| NPI | 1144684432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRNCNP18052) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH RN.333425-1) |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2018-03-09 |