| NPI | 1538726328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH APRN.CNP.023597) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.256080) |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2019-05-28 |