| NPI | 1164930996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 023548) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: OH RN.394980) |
| Enumeration Date | 2018-01-15 |
| Last Update Date | 2024-11-04 |