| NPI | 1467448407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.05320) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH RN199171) |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2020-04-08 |