| NPI | 1326537556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.022810) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.301662) |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2018-06-18 |