| NPI | 1811211881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 0030270) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH rn.335549) |
| Enumeration Date | 2010-03-19 |
| Last Update Date | 2022-12-16 |