| NPI | 1649554270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.019819) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 16033) |
| Enumeration Date | 2011-09-30 |
| Last Update Date | 2019-01-15 |