| NPI | 1659746550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.17435) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH RN.252149-1) |
| Enumeration Date | 2015-12-03 |
| Last Update Date | 2020-07-21 |