| NPI | 1366955627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.021991) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.395878) |
| Enumeration Date | 2017-11-09 |
| Last Update Date | 2017-11-09 |