| NPI | 1447779384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.020931) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.328339) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRNCNS020931) | |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2017-09-19 |