| NPI | 1295276632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-110087) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-10087) |
| 163W00000X Registered Nurse (Licence: OH RN.434112) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH CTP.021635) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.020444) | |
| Enumeration Date | 2017-03-18 |
| Last Update Date | 2020-11-05 |