| NPI | 1700234077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH APRN.CNP.019561) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 410981) |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2016-09-01 |