| NPI | 1548679970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH RN.263958) |
| Additional Taxonomies | 363LS0200X Nurse Practitioner, School (Licence: OH RN.263958) |
| Enumeration Date | 2014-08-11 |
| Last Update Date | 2019-11-26 |