| NPI | 1154897072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.023416) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.402353) |
| Enumeration Date | 2018-10-18 |
| Last Update Date | 2022-10-21 |