| NPI | 1740633494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.019398) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.349557) |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2016-07-18 |