| NPI | 1285169086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 023039) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.363850) |
| Enumeration Date | 2017-04-29 |
| Last Update Date | 2023-02-27 |