| NPI | 1619388899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.15841) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.15841-NP) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA.15841-NP) | |
| Enumeration Date | 2014-05-09 |
| Last Update Date | 2018-03-17 |