| NPI | 1659514073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.10817-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN307979) |
| 363L00000X Nurse Practitioner (Licence: OH 10817-NP) | |
| 163W00000X Registered Nurse (Licence: KY 1111423) | |
| Enumeration Date | 2009-04-15 |
| Last Update Date | 2018-10-31 |