| NPI | 1346689254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA14694-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.359735) |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2022-03-30 |