| NPI | 1710383328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.18470-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.362494-1) |
| Enumeration Date | 2014-11-10 |
| Last Update Date | 2018-10-23 |