| NPI | 1750664108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.12497) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: OH 12497NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH COA12497NP) | |
| Enumeration Date | 2011-09-22 |
| Last Update Date | 2020-12-30 |