| NPI | 1841821303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.026263) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.392875) |
| Enumeration Date | 2020-02-03 |
| Last Update Date | 2020-02-03 |