| NPI | 1407302011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.19067) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRNCNP19067) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2020-03-11 |