| NPI | 1326433053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0034445) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.354838) |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2024-08-07 |