| NPI | 1619392446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.024407) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 368594) |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2024-01-23 |