| NPI | 1164727319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.026034) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.365153) |
| Enumeration Date | 2011-01-19 |
| Last Update Date | 2020-12-23 |