| NPI | 1346800828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH aprn.cnp.024790) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.389085) |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2019-06-18 |