| NPI | 1164982815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRNCNP025025) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH LE-00027759) |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2019-06-27 |