| NPI | 1477008092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CPN.022202) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN CNP 4623) |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2018-06-13 |