| NPI | 1851707012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH coa.15686-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN277396-CCOA1) |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2024-01-12 |