| NPI | 1558719500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.18831-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.310046-1) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH CTP.18831-EX1) | |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2021-05-19 |