| NPI | 1205023173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.09534) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: OH COA.09534-NP) |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2021-03-03 |