| NPI | 1780131052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.019741) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3010593) |
| 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.019741) | |
| Enumeration Date | 2016-09-05 |
| Last Update Date | 2017-04-27 |