| NPI | 1255875860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.021167) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.398745) |
| Enumeration Date | 2016-12-15 |
| Last Update Date | 2017-10-03 |