| NPI | 1871833483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.14335) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH RN.315594) |
| Enumeration Date | 2013-02-19 |
| Last Update Date | 2019-04-12 |