| NPI | 1538614292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.019540) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN 256340) |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2016-08-23 |