| NPI | 1316330228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.16956) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH RN.221712-COA1) |
| Enumeration Date | 2015-03-17 |
| Last Update Date | 2019-01-22 |