| NPI | 1275913832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.17911) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.17911) |
| 163W00000X Registered Nurse (Licence: OH RN.363433) | |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2020-12-08 |