| NPI | 1720436132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.19188) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.358731) |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2021-09-23 |