| NPI | 1477913218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.18474) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.18474-NP) |
| 163W00000X Registered Nurse (Licence: OH RN.368342-1) | |
| Enumeration Date | 2016-03-04 |
| Last Update Date | 2022-04-29 |