| NPI | 1578003620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.020669) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 292470) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH F02170566) | |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2022-07-21 |