| NPI | 1447705132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.019338) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH f0616550) |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2020-05-08 |