| NPI | 1295224970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRNCNP022833) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.392037) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.022833) | |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2018-07-10 |