| NPI | 1538406459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.13916) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 191725) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 13916) | |
| Enumeration Date | 2013-01-11 |
| Last Update Date | 2022-04-12 |