| NPI | 1871904417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH APRN.CNP.15641) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.15641) |
| Enumeration Date | 2014-05-16 |
| Last Update Date | 2021-02-09 |