| NPI | 1659746501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.020848) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH RN.362495) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.020848) | |
| Enumeration Date | 2015-12-03 |
| Last Update Date | 2018-02-16 |