| NPI | 1417309758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 19198-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.394248) |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2021-12-27 |