| NPI | 1205399771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 024743) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: OH 392247) |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2020-01-24 |