| NPI | 1366782880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.14133) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.14133-NP) |
| Enumeration Date | 2013-02-20 |
| Last Update Date | 2019-05-23 |