| NPI | 1295390607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.024739) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.402365) |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2020-02-06 |