| NPI | 1821159575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.08376) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH NP08376) |
| 363LF0000X Nurse Practitioner Family (Licence: OH NP08376) | |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2018-06-13 |