| NPI | 1205456761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 0026823) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 395945) |
| Enumeration Date | 2020-04-24 |
| Last Update Date | 2020-06-08 |