| NPI | 1215427836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.025592) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.414346) |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2021-01-28 |