| NPI | 1740355767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH RN 207446 COA 01208) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH RN207446) |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2019-09-17 |