| NPI | 1285036392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRNCNP16561) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA 16561 NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH CNP.16561) | |
| Enumeration Date | 2014-09-19 |
| Last Update Date | 2021-09-09 |