| NPI | 1518377571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 15899) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 388452) |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2025-02-10 |