| NPI | 1306253976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH COA.16342-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.317509-1) |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2018-08-08 |