| NPI | 1558761692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.16647-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.334261) |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2021-01-15 |