| NPI | 1164975744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.019366) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH RN 360369) |
| Enumeration Date | 2016-07-29 |
| Last Update Date | 2016-08-03 |