| NPI | 1417479544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.021639) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 2017004507) |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2017-09-08 |