| NPI | 1477702868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.10183) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA10183NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.10183) | |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2024-03-05 |