| NPI | 1154867794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.020476) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH RN.365189) |
| Enumeration Date | 2017-01-06 |
| Last Update Date | 2021-12-07 |