| NPI | 1790038107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.026665) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.319288) |
| 363L00000X Nurse Practitioner (Licence: FL ARNP9266408) | |
| Enumeration Date | 2012-10-23 |
| Last Update Date | 2023-03-31 |