| NPI | 1205217098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 17325) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: OH 317378) |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2021-07-10 |