| NPI | 1689043408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0029732) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 397399) |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2021-09-10 |