| NPI | 1518284892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH NP11116) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN301755) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH COA.11116-NP) | |
| Enumeration Date | 2010-04-27 |
| Last Update Date | 2021-12-27 |