| NPI | 1407921158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0035871) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN298830) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2024-02-14 |