| NPI | 1841623402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA15019NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH RN323947) |
| Enumeration Date | 2013-08-17 |
| Last Update Date | 2020-11-03 |