| NPI | 1861917510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.020933) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: OH RN.423564) |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2021-12-27 |