| NPI | 1376973024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0035206) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN141155) |
| Enumeration Date | 2013-11-16 |
| Last Update Date | 2024-02-05 |