| NPI | 1518389287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.15436) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 15436-NP) |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2019-12-18 |