| NPI | 1841509569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0030176) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.364218) |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2022-03-23 |