| NPI | 1700206208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 15904-NP) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: OH OH3004735) |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2019-01-11 |