| NPI | 1588958524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH 0027720) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 2024397) |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2021-06-08 |