| NPI | 1417239781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.12615) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH COA.12615-NP) |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2021-02-24 |