| NPI | 1407303589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 020470) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN306659) |
| 363L00000X Nurse Practitioner (Licence: OH aprn.cnp.020470) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH f0117825) | |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2017-10-14 |