| NPI | 1275134777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5107412) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN251103) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0032204) | |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2023-01-09 |