| NPI | 1760820302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.14675) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.199219) |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2024-10-18 |