| NPI | 1154821510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH aprn.cnp.022579) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.022579) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH F12170510) | |
| Enumeration Date | 2018-02-12 |
| Last Update Date | 2021-10-21 |