| NPI | 1477110518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 0028070) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 434776) |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2021-04-16 |