| NPI | 1669758140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH F09220047) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN.131089-M-IV) |
| Enumeration Date | 2011-10-27 |
| Last Update Date | 2022-11-10 |