| NPI | 1871071183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH F06181610) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.350781) |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2023-11-03 |