| NPI | 1265623078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH Aprn.cnp.019820) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH rn-311363) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2021-08-18 |