| NPI | 1407399041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH 020042) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.347185) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.020042) | |
| Enumeration Date | 2016-11-30 |
| Last Update Date | 2023-01-31 |