| NPI | 1750847216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH 026308) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 403713) |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2020-02-11 |