| NPI | 1578019600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 2016019138) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH RN334054) |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2018-04-24 |