| NPI | 1598295735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH F05170754) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.383093) |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2017-06-19 |