| NPI | 1780068502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.17656) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.17656-NP) |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2019-02-12 |