| NPI | 1245702208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 0030067) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH rn.410483) |
| Enumeration Date | 2018-12-31 |
| Last Update Date | 2022-09-11 |