| NPI | 1649749599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 023364) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 434484) |
| Enumeration Date | 2018-11-21 |
| Last Update Date | 2021-12-29 |