| NPI | 1699020164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.13563) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.13563-NP) |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2022-07-21 |