| NPI | 1639605561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WD0400X Registered Nurse, Diabetes Educator (Licence: OH 209846) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.021009) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.021009) | |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2021-03-04 |