| NPI | 1770958266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.18181-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 1770958266) |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2021-04-14 |